25D2099154 CLIA NUMBER - STATE URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 25D2099154
  • Facility Name: STATE URGENT CARE LLC
  • Facility Address: 521 S MONTGOMERY STREET, SUITE 1
    STARKVILLE, MS
    ZIP 39759
  • Facility Phone: 662 338-4826
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: LIBBY M. SPENCE
  • NPI Number: 1932587706
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2099154
LAB Type Independent
Facility Name STATE URGENT CARE LLC
Street 521 S MONTGOMERY STREET, SUITE 1
City STARKVILLE
State MS
ZIP 39759
Phone 662 338-4826
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Independent
Lab Director LIBBY M. SPENCE

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This page was last updated on: 9/29/2025